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題名 | 比較停經後婦女接受中藥治療或雌激素治療其更年期症狀血脂肪骨質密度之研究=A Study for Postmenopausal Symptom Serum Lipoprofile and Bone Mineral Density in the Comparison of Postmenopausal Women Received Chinese Herb Durg or Estrogen Replacement Therapy |
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作者姓名(中文) | 許朝欽; | 書刊名 | 中醫藥年報 |
卷期 | 16:1 1998.05[民87.05] |
頁次 | 頁1-16 |
分類號 | 413.61 |
關鍵詞 | 停經; 更年期症狀; 脂肪代謝; 骨質疏鬆; Menopause; Hormone replacement therapy; Chinese medicine; |
語文 | 中文(Chinese) |
中文摘要 | 婦女在停經後由於女性荷爾蒙的缺乏,直接產生的問 題主要有三:其一為更年期症候群的出現;其二為脂肪代謝的 改變,造成心臟血管疾病的增加;其三為骨質大量流失而有骨 質疏鬆症候群出現狀況,脂肪代謝以及骨質密度之情形。 由於臺灣人口平均年齡增長停經婦女與日俱增,其特 殊的醫療與健康問題應加以重視與研究。特別是在推廣荷爾 蒙補充治療之前,我們要先了解臺灣停經婦女之基本健康狀 態(包括脂肪代謝和骨質密度等)以及她們所面臨之心理壓 力等問題,來作為日後治療之基礎和政府推行保健政策之參 考。 我們於一年內臨床診斷更年期婦女,發現多數婦女呈 現腎陰虛,腎陽虛,腎陰陽兩虛,脾虛氣陷,肝旺,心血虛 等等現象,而採用ARDK之電腦經脈判讀,發現 (1)有一半以上(51%)的婦女有體能異常,多數呈現體能 低下的現象。 (2)36%的婦女的陰/陽指數異常。 (3)72%的婦女上焦下焦的臟腑經絡呈現不平衡狀態。 (4)59%的婦女身體左右呈不平衡現象。 (5)68%的婦女的自律神經系統呈縣控制失調的狀態。 因此於停經的治療上,以傳統中藥的二仙湯或加味消 遙散比較其雌激素補充療法對於更年期症狀;脂肪代謝以及 骨質密度的影響,將是日後醫學上的一大方向,傳統中藥的 投與若能夠達到荷爾蒙補充療法類似的效果,則可以將之廣 為應用。 |
英文摘要 | Nowadays, the population structure in Taiwan is becoming aging. The average female life expectancy in Taiwan has reached 78 years old. Thus, women on average, have to live one third of their life after the menopause. The impact of an aging population and menopause problems on the health and medical systems deserved more concerns and studies on it. This project is to investigate the feasibility of Chinese medicine and hormone replacement therapy (HRT) in Taiwanese menopause women and to establish a population specific experience and information based on Taiwanese women. HRT is an established medical practice for post-menopausal women in western countries. There were different opinions and debates on the beneficial and drawbacks of it. The practice of HRT is still relatively new and lack of appropriate reference data in Taiwan. In general , dissimilarities in ethnicity, body architect, diet and life styles may demand different approaches to HRT. At moment, the positive effects of HRT is generally believed in reducing the menopausal symptoms, improve the life quality, direct the lipid metabolism to a better route to reduce the risk of cardiovascular disorders, and prevent osteoporosis as well as bone fracture. However, big concern has always been raised on the risk of endometrial cancer and breast cancer after the HRT. Thus, precautions should be taken for possible. To rely entirely on foreign data in prescibing long term HRT for Taiwanese women is very dangerous. Thus, the appropriate medication, ingredients, usage, and dosage of HRT and Chinese medicine beneficial for Taiwanese menopause women should be studied in this and future projects. In conclusion, this project is to establish a study model for menopausal women in Taiwan. This model can serve as a reference for the governmeent to promote preventive medicine for protection of postmenopause women from the related problems and to establish policies for the national health insurance. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。